10 results
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Positive reflux= ... #PhysicalExam # ... #VolumeStatus #Cardiology ... #HJR #AJR
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Infarction • Stable ... Gastro-Esophageal Reflux ... • Trauma - Neurologic ... ChestPain #Noncardiac #Cardiology
Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) on Physical Exam

1) Position the patient supine with bed
Physical Exam 1) Position ... of >3 cm is a positive ... #HJR #PhysicalExam ... clinical #video #jvp #cardiology ... Abdominojugular #AJR
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma: a state ... consciousness Differential ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
- Differential Diagnosis ... where we may see a positive ... #physicalexam # ... diagnosis #cardiology ... #differential #
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Pads in AP position ... Start pacing. ... bradycardia #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
continues into tall, positive ... ST elevation in aVR ... V2 • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... deWinter T waves - starts ... leads with STE in avR ... electrocardiogram #cardiology ... Interpretation #differential
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... (not always AR) ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... Signs of congestion ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment